ATI RN
Postpartum Care Nursing Practice Questions Questions
Question 1 of 5
The nurse is researching for evidence-based practice related to a mother's response during the postpartum period. Based on research by Rubin and Mercer, which finding will the nurse be able to easily implement to change the culture of the unit?
Correct Answer: B
Rationale: The correct answer is B: Alterations in terminology. Rubin and Mercer's research focuses on the importance of language and terminology used during the postpartum period. By implementing changes in the unit's terminology to be more supportive and empowering for mothers, the nurse can positively impact the culture of the unit. This can help create a more nurturing and understanding environment for new mothers. Incorrect choices: A: Satisfaction questionnaires are not directly related to changing the culture of the unit based on Rubin and Mercer's research. C: Decreasing nurse/patient ratios may improve patient care but is not specifically mentioned in the research as a way to change the unit's culture. D: Soliciting paternal expectations is not the focus of Rubin and Mercer's research, which is centered on the mother's response during the postpartum period.
Question 2 of 5
The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse NOT recognize as a cause for bonding/attachment problems?
Correct Answer: D
Rationale: The correct answer is D. The absence of the father due to military duty does not directly impact bonding/attachment problems. Rationale: 1. Choice A: Eclampsia can lead to complications during pregnancy but does not directly affect bonding. 2. Choice B: Meconium aspiration syndrome treatment focuses on the neonate's health, not parental bonding. 3. Choice C: Dystocia during labor may lead to physical challenges but does not necessarily affect bonding. In summary, choices A, B, and C involve medical conditions that could indirectly impact bonding, whereas choice D does not have a direct correlation to bonding/attachment issues.
Question 3 of 5
The nurse is assessing her patient, who is 1 day postpartum. The nurse notes that the fundus is firm and at midline, the lochia is moderate in amount, and the presence of rubra with two dime-sized clots is on her peri-pad. What should the nurse determine from these assessment findings?
Correct Answer: A
Rationale: Rationale: A: These assessment findings are normal for a patient 1 day postpartum. A firm, midline fundus indicates proper uterine involution. Moderate lochia is expected at this stage, and small clots are common. B: There are no signs of infection present in the scenario, such as foul odor or abnormal color of lochia. C: The findings are within the expected range for a patient 1 day postpartum, so there is no need to notify the physician. D: Increasing fluid intake is always important postpartum, but it is not specifically indicated based on the assessment findings provided.
Question 4 of 5
Which best represents the process of postpartum diuresis in a postpartum client?
Correct Answer: D
Rationale: Postpartum diuresis is the increased urine output that occurs after childbirth. The correct answer, D, explains this process accurately as the loss of fluid from expulsion of the placenta and amniotic fluid triggers the body to eliminate excess fluid through increased urination. Choice A is incorrect as it does not directly relate to the process of postpartum diuresis. Choice B is incorrect because excess fluid is primarily eliminated through urine, not the skin. Choice C is incorrect as underarm perspiration is not a significant factor in postpartum diuresis.
Question 5 of 5
The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?
Correct Answer: C
Rationale: The correct answer is C because washing hands before and after performing peri-care is crucial to prevent infection. Beforehand, it reduces the risk of introducing harmful bacteria into the perineal area. Afterward, it prevents potential contamination of hands. This action demonstrates understanding of maintaining proper hygiene during peri-care. Explanation of other choices: A: Applying the peri-pad from back to front is incorrect as it can introduce bacteria from the rectal area to the vaginal area, increasing the risk of infection. B: Performing peri-care three times a day is not necessarily an indication of understanding proper technique and hygiene. Frequency alone does not ensure correct practice. D: Mixing tap water and hydrogen peroxide in the peri-bottle is not recommended as it can disrupt the natural flora in the perineal area and cause irritation.